Sample Speech and Language Report - Speech Therapy in Austin
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Date of Report 03/12/2010
Bilingual Speech and Language Services
Independent School District 101 Main St.
Austin, TX 78731
Speech and Language Report Determination of Disability and Educational Need
Initial Assessment Reevaluation Special Request by ARD Committee
Name of Student: Smith, John Age: 10;8 Grade: 3rd Gender: male
Date of Birth: 04/19/2000 Identification Number: 123-45-6789 School: Union Elementary
EXAMINERS: Ellen S. Kester Ph.D., CCC-SLP
REASON FOR REFERRAL TO SPECIAL EDUCATION:
John underwent a speech-language evaluation in order to determine eligibility in the special
education programs as speech-language impaired. He was referred due to difficulties in the general
education classroom with lack of response to implemented interventions as well as results from a
speech and language teacher checklist. Previous attempts to assist John include Dyslexia
assessment, preferential seating, one-to-one assistance, visual support, as well as providing
Section 504 accommodations. The Pre-Evaluation committee set forth the scope of this evaluation
and is considered a part of this Full and Individual Evaluation. Teacher and parent information are
outlined in the background information of this report.
Background
BACKGROUND INFORMATION:
information from
John is a 10-year-old male attending a regular 3rd grade classroom at Union ElemsetundtaernytsS,cphaoroeln, ts and
Independent School District. Based on information obtained on the parent questaiocnandaeimrei,cJpoehrnsonnel.
currently lives with his father and his two brothers. All sources for testing
informationJionhcnlu'sdincglassroom teacher reported that John generally cooperates with teacher's requests, he health acaaddaepmtsic,to new situations easily, accepts responsibility for his actions, works cooperatively with
formal, andotinhfeorrsm, aanl d has an even, usually happy disposition. John's teacher reported that John is functioning testinbge.low average in all academic areas. This is his second time to complete the third grade. John was
also noted to have infrequent mis-pronunciations of words that make him difficult to understand at
times.
John's father reported in the parent questionnaire that his son is distractible, has trouble
concentrating, and is a loud, high-intensity child.
SOURCES OF INFORMATION: *Sources of Data
Formal and Informal measures Parent Information Testing Observations Voice and Fluency Evaluation Comprehensive Assessment of Spoken Language (CASL) Clinical Evaluation of Language Fundamentals-4-Spanish
Assessment dates
04-12-2008 02-27-2009 02-27-2009 01-23-2009
*Sources of Data Formal and Informal measures Teacher Information Speech and Language Samples School Nurse Information Language History Survey
Assessment dates
09-2008 02-27-2009 02-244-2008 02-23-2009
02-27-2009
Behavior During Testing: John was pleasant and cooperative through the entirety of the evaluation. He completed all tasks asked of him. John was very personable. He shared stories about his father, brothers and sisters.
LANGUAGE (Communication and Communicative Status):
Language History: According to school
documents,
parent
report,
teacher
report,
and
Language dominance observation, Johnanedxupsrees. ses
himself best orally and is proficient in both English and Spanish. English appears to be John's
stronger language.
English and Spanish are spoken in the home, according to information provided on the parent questionnaire dated 4/12/2008.
John uses both English and Spanish at home and at school. He reports that he speaks more English than Spanish. John has received bilingual education until the present year.
The Speech and Language assessment was completed in both English and Spanish.
Language:
John is currently in an English third grade classroom. Information obtained from John's classroom
teacher note receptive language skills in the average range for comprehending word meanings and
following oral instructions. His teacher noted below-average receptive language skills in his ability
to comprehend classroom discussion and remember information just heard. Expressively, his
teacher reported average skills in his use of grammar for general understanding, relating a
sequence of events in order (telling a story), and organizing and relating ideas and factual
information. His classroom teacher noted below-average skills in his use of vocabulary and in his
ability to express himself fluently when called upon to speak. His teacher further noted that John
tries very hard in the classroom and really wants to do well; however, he has a lot of difficulty with
the content of the activities.
Language testing in both
To assess John's expressive and receptive language skills, standardized tests wlearneguaadmgeinsisthtearteindcilnudes
both English and Spanish. Additionally, a language sample was obtained in bothfolarnmgaulategsetsinugs,iningfoarmal
wordless picture book and conversation.
testing, and language
samples.
Spanish Language
The Clinical Evaluation of Language Fundamentals, Fourth Edition (CELF-4) Spanish was
administered to evaluate John's general language ability in Spanish. John obtained the following
results on the CELF-4 Spanish:
Clinical Evaluation of Language Fundamentals, Fourth Edition (CELF-4) ? Spanish Subtest Scores
(Mean=10; SD=3)
Subtest Concepts and Following Directions Recalling Sentences Formulated Sentences Word Classes-Expressive Word Classes-Receptive Word Classes-Total
Standard Score 1 2 1 2 2 2
Percentile Rank .1 .4 .1 .4 .4 .4
John Smith, page 2 of 8
Core Score and Indexes Core Language Score Receptive Language Index Expressive Language Index
Core Score and Indexes (Mean=100, SD=15)
Standard Score 43 50 51
Percentile Rank ................
................
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